Organization
COLLIER HMA PHYSICIAN MANAGEMENT LLC
Active
Other names
Physicians Regional Medical Group, Collier HMA Physician Management LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIR PROV ENROLLMENT & ONBOARDING)
(877) 892-9815
Entity
Organization
Contact information
Practice address
8300 COLLIER BLVD, NAPLES, FL 34114-3549
(239) 348-4421
(239) 348-4149
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
07/14/2021
Last updated
02/07/2025
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